perfusion EAQ

which symptoms would the nurse include when teaching a group of female clients about clinical manifestations or CAD that are more common in omen?

- dyspnea - indigestion - unusual fatigue

which dietary choice would the nurse teach for the client with peripheral arterial disease? SATA

- limit salt intake - eat whole-grain breads - use liquid vegetable oils - avoid processed meats

which topic will the nurse include when teaching a group of clients about risk factors for heart disease? SATA

- obesity - hypertension

which clinical finding would the nurse expect to identify when caring for a client with a left leg venous thrombosis? SATA

- pain in the left calf - redness in the affected area - swelling of the lower left leg - localized warmth in the lower left leg

which finding would the nurse expect when assessing a client with peripheral arterial disease? SATA

- pallor of feet - ulcers on toes - delayed capillary refill

when caring for a client with a possible PE, the nurse will anticipate preparing the client for which test?

Helical computed tomography (CT)

which component of the electrocardiogram would the nurse analyze to determine whether a client is experiencing acute coronary syndrome (ACS)?

ST segment

which adverse effect would a nurse monitor for when caring for a client with hypertension who is prescribed metoprolol?

bradycardia

which action would the nurse take when a client with chronic venous insufficiency has ankle edema?

elevate the legs

which response indicates that sublingual nitroglycerin prescribed for a client with unstable angina is effective?

pain subsides as a result of arteriole and venous dilation

which finding about a clients angina is most important for the nurse to communicate to the health care provider?

continues after rest and nitroglycerin

the nurse provides immediate postop care to a client. the client reports a sudden onset of shortness of breath and chest pain. which action would the nurse take?

provide supplemental oxygen

which explanation would the nurse give to the spouse of a client who has coronary artery bypass graft (CABG) surgery when asked why there is a dressing on the clients left leg?

"a vein in the leg was used to bypass the coronary artery"

which response would the nurse make to a 30-year-old client diagnosed with hyperlipidemia and hypertension who asks the nurse to explain why treatment is important, stating "i feel fine, so i dont really see the need to make any changes."?

"both high blood pressure and high cholesterol contribute to development of heart disease"

which statement indicated that the teaching has been effective after the nurse has finished teaching a 50 year old female client about symptoms of CAD in women?

"i will call my health care provider about any unusual fatigue"

which action will the nurse take for a client with a suspected PE? SATA

- administer oxygen at high flow rates - notify rapid response team - place the client on a cardiac monitor

which instruction will the home health nurse include when teaching a client with peripheral artery disease? SATA

- avoid crossing your legs - inspect feet daily - do not use compression stocking

which action would the nurse include in the postprocedure plan of care for a client with PAD who is scheduled for a femoral angiogram?

check pedal pulses every 15 minutes postprocedure

which symptom requires the most rapid action by the nurse when caring for a client with known peripheral arterial disease who calls the clinic and tells the nurse about experiencing several symptoms?

chest pain

when the home heal nurse is caring for a client with chronic occlusive arterial disease, which finding will be of most concern?

pale and dry appearing ulcer on great toe

the nurse assist a client who had bariatric surgery to become more mobile. which complication is the nurse attempting to prevent?

pulmonary embolism

which clinical manifestation is more likely to occur in women with CAD compared with men? SATA

- severe fatigue - sense of unease - shortness of breath

which technique will the nurse employ to prevent excessive bruising when administering subcutaneous heparin?

avoid massaging the injection site after the injection

which factor would the nurse identify as the cause of the pain experienced by a client who is experiencing acute coronary syndrome?

heart muscle ischemia

which action described a therapeutic effect of atenolol?

heart rate decreases

which priority nursing action would the nurse implement first when caring for a client receiving nitroglycerin for the treatment of angina?

instruct the client to sit or stand slowly

which drug action will the nurse include when describing the purpose of heparin in a client who develops thrombophlebitis in the right calf and is prescribed bed rest and initiated in IV infusion of heparin?

it prevents extension of the clot

which client action indicated that the teaching has been effective after the nurse provides discharge teaching for a client who has femoropopliteal bypass graft?

walking for 10 minutes twice a day

a client is taking an estrogen-progestrin oral contraceptive. which adverse effects from the contraceptive would the nurse tach the client to report to the primary health care provider? SATA

- dizziness - chest pain - calf tenderness

which finding in a client with a diagnosis of stable angina is most important for the nurse to communicate to the health care provider?

angina episodes are occurring more frequently

when assigned the care of a client arriving in the ED with possible acute coronary syndrome, which prescribed action would the nurse take first?

ask the client about level of intensity of the chest pain

which nursing action is most important pre-op for a client with an abdominal aortic aneurysm?

maintaining a low blood pressure

the nurse is conducting a health class for adolescents. which modifiable risk factor is most closely associated with the development of coronary heart disease (CHD) in both men and women?

cigarette smoking

the nurse is instructing a community group regarding risk factors for coronary artery disease. which risk factor cannot be modified?

hereditary

which possible complication would a nurse monitor for when a client develops a venous thrombosis in the left calf?

pulmonary embolism

which clinical finding would the nurse expect when completing the admission assessment of a client with a large abdominal aortic aneurysm who is admitted for elective surgery?

pulsating abdominal mass

within which period of time would a nurse advise the client to anticipate pain relief will begin when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina?

1 to 3 minutes

in which order will the nurse perform these prescribed actions for a client who is in the ED with sudden onset of dyspnea and possible PE?

1. check oxygen saturation using pulse ox 2. administer oxygen to keep saturation higher than 93% 3. place client on cardiac monitor 4. obtain blood for coagulation studies 5. administer unfractionated heparin

which diagnostic test is most important for the nurse to obtain rapidly when caring for a client who has arrived in the ED with possible acute coronary syndrome (ACS)?

12 lead electrocardiogram (ECG)

which diagnosis increases the risk for development of a pulmonary embolism?

Atrial fibrillation

which measure would the nurse take when administering enoxaparin subcutaneously?

administer in the abdomen

which pain characteristic would the nurse expect to observe when a client is experiencing anginal pain?

relieved by sublingual nitroglycerin

which description would the nurse expect with the client to use to characterize the pain when admitted to the coronary care unit with a diagnosis of ST segment elevated myocardial infarction?

severe, intense chest pain

which assessment finding indicated a need for the nurse to consult with the health care provider before administering the prescribed metoprolol to a client with stable angina?

sinus bradycardia, rate 54 on monitor

which explanation would the nurse give about the purpose of the procedure when a client with angina is scheduled to have a cardiac catheterization?

to visualize the disease process in the coronary arteries

which topic will the nurse include in teaching for a client with raynaud disease?

tobacco avoidance

which laboratory test is important for the nurse to monitor when a client is admitted with acute coronary syndrome?

troponin

which finding would the nurse expect when assessing a client admitted for elective endovascular repair of a large abdominal aortic aneurysm?

visible pulsating abdominal mass

which agent will be used if an antidote is needed for a client taking warfarin?

vitamin K